Clarity Psychological Testing Practice Policies

Clinic Information

Main Line: 800-593-2560
Billing Department: BillingSupport@ClarityPsychologicalTesting.com

If you change your insurance, legal name, mailing address, or contact information, please notify our billing dept. as soon as possible.

Confidentiality Agreement

Confidentiality is a legal right for all clients receiving psychological services. All personal information presented to Clarity Psychological Testing will not be disclosed outside of the clinic except as authorized by a written release or as required by law. Exceptions to confidentiality include:

• When you provide written consent to release information.

• Suspected child, elder, or dependent adult abuse.

• Risk of harm to yourself or others.

• Legal proceedings requiring disclosure.

• Collection of unpaid balances through an external agency.

• Parental rights to access treatment information in custody cases.

• If your case is reviewed for internal consultation (without identifying details disclosed).

Appointment Policies

• Initial Evaluations & Assessments: Sessions typically last 60 minutes.

• Testing: Testing sessions typically last around 4-6 hours and are in person. We do provide digital telehealth testing for patients residing 25+ miles or more from our locations.

• Follow-Up Sessions: Therapy follow-ups range from 30-60 minutes, and medication management sessions are 15-30 minutes.

• Please sign on/arrive 15 minutes prior to your scheduled appointment to complete the necessary paperwork.

• Clients returning after one year will be considered new patients and must be re-evaluated.

Urgent/Emergency Services

Clarity Psychological Testing is an outpatient clinic and does not provide emergency medical services. If you are experiencing a crisis or suicidal ideation, please call 911 or visit the nearest emergency room. After receiving urgent care, follow up with your provider regarding any changes made at the hospital.

Cancellation & Late Arrival Policy

Cancellation & Late Arrival Contact: [Insert Contact Number]

• Late Arrivals: If you arrive late, your provider may reschedule your session at their discretion.

• 48-Hour Cancellation Policy: Cancellations must be made at least 48 hours in advance to avoid a no-show fee.

• If you do not show up for a scheduled appointment, you will be charged the full session fee, as insurance does not cover missed appointments.

• After three no-shows in a calendar year, treatment services may be discontinued. For Mass health patients, we do not reschedule if you late cancel or no show since we cannot bill a no show fee.

Forms, Paperwork, and Prior Authorizations

• All requests for forms, letters, or disability paperwork must be discussed with your provider.

• Completion time for requested forms is 5-7 business days, but may take up to 14 business days in certain cases.

• Document completion fees may apply and are the responsibility of the client.

• Prior authorizations for medications may take 5-7 business days and are not guaranteed.

Switching Providers

• Clients may see another provider within our clinic if their current provider is unavailable.

• Switching providers beyond two times is limited unless clinically justified.

• Requests to switch providers due to treatment plan or report disagreements may not be accommodated.

Patient Termination Policy

We are committed to providing quality care; however, patients may be discharged from Clarity Psychological Testing for the following reasons:

• Noncompliance with treatment recommendations.

• Repeated failure to adhere to attendance policies.

• Violations of clinic policies.

• Aggressive, violent, or inappropriate behavior.

Financial Policies

• Payment is due at the time of service.

• Accepted payment methods include credit cards, checks, and cash.

• A $25 fee applies for returned checks.

• Clients are responsible for any uncovered services or denied claims by insurance.

Service Rates:

Service Fee Initial Evaluation (60 min) $275 Follow-Up Therapy (30-60 min) $150 - $250 Testing Appointment (15-30 min) $300 No-Show Fee Full session cost Forms & Letters (per page) $15 Court-Related Services $400 - $2,000 (retainer required)

Acknowledgment & Agreement

By receiving services at Clarity Psychological Testing, you acknowledge and agree to abide by these policies. Please contact our front office for any questions or clarifications.